Jamie Sellers, CHMC

Individual provider Active NPI Mental Health Counselor · Kearns, UT

NPI 1700399367 · NPPES record last updated Nov 6, 2017

Key facts

NPI
1700399367
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
7767970-6004 (UT)
Practice address
5242 S 4820 W
Kearns, UT 84118-6422
Phone
(801) 966-4251
NPI assigned
Nov 6, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7767970-6004UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Center Mental Health Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7767970-6004 UT Yes

Addresses

Primary practice location

5242 S 4820 W
Kearns, UT 84118-6422

Mailing address

5941 S. Lasalle Drive
Murray, UT 84123
Phone (801) 597-0204

Other providers in Kearns, UT

All providers in Kearns, UT · Mental Health Counselor in Utah

Sources for this page

Verify at the official NPI Registry.